Commonalities for Numerical and Continuous Quantity
Skills at Temporo-parietal Junction
Marinella Cappelletti1,3, Rebecca Chamberlain1, Elliot D. Freeman2,
Ryota Kanai1, Brian Butterworth1, Cathy J. Price1, and Geraint Rees1
Astratto
■ How do our abilities to process number and other continu-
ous quantities such as time and space relate to each other?
Recent evidence suggests that these abilities share common
magnitude processing and neural resources, although other
findings also highlight the role of dimension-specific processes.
To further characterize the relation between number, time,
and space, we first examined them in a population with a devel-
opmental numerical dysfunction (developmental dyscalculia)
and then assessed the extent to which these abilities correlated
both behaviorally and anatomically in numerically normal partic-
ipants. We found that (1) participants with dyscalculia showed
preserved continuous quantity processing and (2) in numeri-
cally normal adults, numerical and continuous quantity abilities
were at least partially dissociated both behaviorally and anato-
mically. Specifically, gray matter volume correlated with both
measures of numerical and continuous quantity processing in
the right TPJ; in contrast, individual differences in number pro-
ficiency were associated with gray matter volume in number-
specific cortical regions in the right parietal lobe. Together,
our new converging evidence of selective numerical impair-
ment and of number-specific brain areas at least partially dis-
tinct from common magnitude areas suggests that the human
brain is equipped with different ways of quantifying the outside
mondo. ■
INTRODUCTION
Philosophers, neurologists, educators, and psychologists
have long pondered the relation between number and con-
tinuous quantities, such as space and time (see Dehaene
& Brannon, 2011): Are these dimensions built on one com-
mon system for quantification, or do they stand indepen-
dently from each other? The first hypothesis derives from
the popular idea that number, time, and space all depend
on shared magnitude processing (Bueti & Walsh, 2009;
Cantlon, Platt, & Brannon, 2009; Walsh, 2003). Tuttavia,
evidence for this common processing is mixed. For
esempio, supporting data come from the similarity of
performance in number, time, or space processing (per esempio.,
Brannon, Suanda, & Libertus, 2007; Zorzi, Priftis, & Umiltà,
2002), but the opposite possibility—that number, time,
and space may each be fully independent—is supported
by TMS and lesion studies showing dissociations among
these dimensions (per esempio., Aiello et al., 2012; Dormal,
Seron, & Pesenti, 2006; Doricchi, Guariglia, Gasparini, &
Tomaiuolo, 2005). A third, intermediate, possibility is that
number, time, and space are only partly independent (per esempio.,
Walsh, 2003). This is suggested by interactions between
dimensions: For instance, large numbers can be perceived
as longer than veridical in physical size or duration (per esempio.,
Dormal et al., 2006), even when number or time are selec-
1University College London, 2City University London, 3Gold-
smiths College, University of London
tively impaired by brain lesions (Cappelletti, Freeman, &
Cipolotti, 2009, 2011).
Previous studies investigated the relationship between
number, time, and space by examining performance either
averaged across groups or in single cases, but here we
complemented this approach by focusing on individual
differences in task performance and in brain anatomy. In-
dividual differences were assessed within the normal and
abnormal spectrum of numerical skills, the latter consisting
of participants whose numerical abilities are developmen-
tally impaired, questo è, dyscalculia (Butterworth, 2003). Nostro
reasoning for including participants with dyscalculia was
that they offer a unique perspective on the relation be-
tween number, time, and space and in particular, because
number skills are by diagnosis impaired in dyscalculia, SU
possible associations or dissociations between number,
time, and space.
The above three hypotheses on the link between num-
ber, time, and space predict different patterns of results.
The proposal of a common magnitude system predicts
that numerical proficiency will be associated with perfor-
mance in continuous quantity discrimination in numeri-
cally normal and in participants with dyscalculia and also
a possible correlation of number, time, and space measures
with the volume of common brain regions. In contrasto, IL
second hypothesis of fully independent magnitude dimen-
sions predicts dissociation between behavioral measures
and independent correlations of each measure with the
© 2014 Massachusetts Institute of Technology Published under a
Creative Commons Attribution 3.0 Unported (CC BY 3.0) licenza
Journal of Cognitive Neuroscience 26:5, pag. 986–999
doi:10.1162/jocn_a_00546
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volume of distinct brain regions. Dyscalculicsʼ performance
may provide converging evidence of independent rather
than shared processes among dimensions if number pro-
cessing dissociate from maintained continuous quantity
processing. The third hypothesis of partial independence
of number and continuous quantity processing predicts a
partial correlation between behavioral measures, Quale
may be associated with both common and distinct brain
regions.
We first tested whether continuous quantity process-
ing was maintained in participants with dyscalculia; having
found a dissociation between impaired numerical abilities
and preserved continuous quantity skills in dyscalculia,
we then measured correlations between individual differ-
ences in number, time, and space performance in another
non-dyscalculic sample for whom numeracy skills varied
within the normal range. In the same sample, we used
voxel-based morphometry ( VBM; Ashburner & Friston,
2000), optimized for neurologically normal brains, to test
whether our behavioral measures each correlated with
anatomical differences in common and/or distinct brain
areas.
METHODS
For all participants, we administered a series of carefully
selected numerical and arithmetical tasks, as well as psy-
chophysical tasks measuring continuous quantity dis-
crimination in space and time. Our choice of tasks and
stimuli was motivated by the aim of measuring numerical/
arithmetical and continuous quantity skills as indepen-
dently as possible. This independence was essential to
obtain an unbiased measure of how these cognitive abil-
ities correlate with each other. We reasoned that if ex-
perimental paradigms that are different but more suited
to test each individual magnitude dimension result in
similar behavioral and anatomical responses in processing
number, time, and space, then such similarities are more
likely to be accounted for by a common magnitude system
or other processes shared between number and continuous
quantity. We used symbolic numbers (1–9), typically em-
ployed to test numerical proficiency (Butterworth, 2010)
independently from nonsymbolic continua (horizontal
lines changing in length or duration), such that numbers
were never manipulated along continuous dimensions
and nonsymbolic continua were never presented with
symbolic numbers.
who were age- and gender-matched to the previous group
(Control Group 1: mean age = 23 years, range = 19–35,
23 women) but with numerical abilities within the normal
range. All participants performed the numerical and con-
tinuous quantity tasks, and we obtained brain scans from
37 nondyscalculic participants only. Two additional groups
of numerically normal participants performed two sup-
plementary control tasks (Supplementary Task 1 in Con-
trol Group 2: n = 18, mean age = 26.1 years, range =
20–35 years, 8 women; Supplementary Task 2 in Control
Group 3: n = 22, mean age = 24.6 years, range = 20–
34 years, 13 women). The study was approved by the local
research ethics committee.
Participants with Dyscalculia
Dyscalculia was diagnosed before participants were invited
to take part in the study. The diagnosis was based on (1)
the Dyscalculia Screener (Butterworth, 2003); (2) a stan-
dardized arithmetical task, questo è, the Graded Difficulty
Arithmetic Task ( Jackson & Warrington, 1986); (3) IL
arithmetic subtest of WAIS-R ( Wechsler, 1986); E
(4) a task consisting of discriminating the numerosity of
clouds of dots, which allows the calculation of the Weber
fraction, an index of accuracy sensitive to dyscalculia
(Mazzocco, Feingenson, & Halberda, 2011; Piazza et al.,
2010; Halberda, Mazzocco, & Feigenson, 2008). General
intelligence was also assessed (Wechsler, 1986).
In the Dyscalculia Screener, Tutto 16 participants with
dyscalculia obtained a score below the cutoff point in
either the capacity or the achievement scale, thereby ful-
filling the criteria for dyscalculia. They were also impaired
in the other numerical or arithmetical tasks consistent
with their diagnosis. IQ was average or high average, sug-
gesting preserved intellectual functioning (Vedi la tabella 1).
Experimental Tasks
There were two sets of experimental tasks, one testing con-
tinuous quantity discrimination and the other testing
numerical competence. Stimulus presentation and data col-
lection were controlled using the Cogent Graphics toolbox
(www.vislab.ucl.ac.uk/Cogent/) and MATLAB 7.3 software
on a Sony S2VP laptop computer with video mode of
640 × 480 pixels, screen dimensions of 20.8° horizontal
by 15.83° vertical and 60 Hz refresh rate. Participants placed
their head on a chin rest positioned 50 cm from the screen.
Participants
Ninety-three right-handed, neurologically normal adults
with normal or corrected-to-normal vision gave written
informed consent to take part in the study. The main sam-
ple consisted of 16 participants (mean age = 34.7 years,
range = 22–38 years, 15 women, 1 Uomo) who had been
diagnosed with dyscalculia (see below) E 37 participants
Continuous Quantity Tasks
Two tasks were used, which have been extensively
employed in neurologically normal and brain-lesioned
participants (Cappelletti, Freeman, & Butterworth,
2011; Cappelletti, Freeman, & Cipolotti, 2011; Cappelletti
et al., 2009). The two tasks required comparing visual
stimuli along the dimension of length or the orthogonal
dimension of time.
Cappelletti et al.
987
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Tavolo 1. Performance of Numerically Normal Participants and of Participants with Dyscalculia in IQ and in Number Tasks (Stanine
Score, Percentile, or Weber Fraction and Standard Deviation in Brackets)
Tasks Performed
IQa
Number tasks
Dyscalculia Screenerb
Capacity subscale
Dot–number matching
Number Stroop
Achievement subscale
Addition
Multiplication
Graded Difficulty Arithmetic Testc
Arithmetic subtest of WAIS-R
Number discrimination (wf )e
Numerically Normal Participants
Participants with Dyscalculia (n = 16)
112.7 (14.06)
2.36 (0.56)
2.5 (0.8)
2.69 (0.7)
2.0 (0.97)
2.38 (0.7)
2.56 (0.8)
2.03 (0.94)
18D (17.5)
15D (16.1)
0.47 (0.16)
≥3
≥3
≥3
≥3
25–75d
25–75d
0.27 (0.04)
Impaired performance is shown in bold. Independent sample t tests were used to analyze performance of the group with dyscalculia relative to
numerically normal age-matched participants (n = 50, 33 women, mean age = 35.6 years, SD = 9.43) who took part in a previous study (Cappelletti
et al., in press); performance of individual dyscalculic was analysed with Crawford et al. (1998) t test.
aWAIS-3 (Wechsler, 1986). Full IQ calculated disregarding performance in the arithmetic subtask.
bDyscalculia Screener expressing performance as stanine score ranging from 1 A 9 where ≤3 indicate an impairment (see Butterworth, 2003).
cJackson and Warrington (1986).
dPercentile.
ePerformance expressed as Weber fraction (wf, Halberda et al., 2008), an index sensitive to dyscalculia (per esempio., Mazzocco et al., 2011; Piazza et al., 2010).
Participants with dyscalculia were significantly impaired relative to a sample of numerically normal participants who took part in previous studies
[T(64) = 5.3, P < .001].
Stimuli. These consisted of two horizontal white lines
(thickness = 0.17°) centered on the vertical meridian
on a black background and presented sequentially in
a two-interval discrimination paradigm, one line 5.07°
above the horizontal meridian and the other 5.07° below
in random order.
Design. The first line stimulus (the Reference) was fixed
(length of 10.29° and duration of 600 msec), whereas
the second line (the Test) could vary according to the
method of constant stimuli either in length or duration,
depending on the dimension to be judged (the irrelevant
dimension always matched the Reference). For each di-
mension, the ratio between the smaller and the larger
stimulus could vary unpredictably over five levels: 1.06,
1.13, 1.2, 1.26, and 1.33 for time and 1.025, 1.05, 1.075,
1.10, and 1.25 for length, selected from previous studies
(Cappelletti, Freeman, & Cipolotti, 2011; Cappelletti
et al., 2009). Test stimulus values were randomly sampled
without replacement from a set of five equally spaced
values for each dimension (steps of 0.257° for length and
40 msec for time) with equal frequency. There were five
blocks of 40 observations for each level of the test stim-
ulus (total 200 observations for each task). The time and
space discrimination tasks were run independently from
each other in counterbalanced order across participants
to avoid order effects.
Procedure. Each trial began with a centrally displayed
fixation point (diameter = 0.17°), which remained visible
until a key-press from the participant. The reference line
was then immediately displayed followed by the test line
and an interstimulus interval of 100 msec. The screen
then remained blank with a fixation cross in the middle
until a response from the participant. The next trial im-
mediately followed the response (see Figure 1, bottom).
In each task, participants made unspeeded responses by
pressing either the “up” or “down” cursor arrow keys of
the computer keyboard if either the upper or the lower
line appeared the longest, either in duration or in spatial
extent. Correct answers were equally assigned to the
“up” or “down” keys in each task. For each task, before
the first experimental block participants had at least
20 practice trials, which were not included in analysis.
Number Tasks
To test numerical and arithmetical competence, three
tasks were devised (see Figure 1, top), for which par-
ticipants were instructed to make speeded answers;
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Journal of Cognitive Neuroscience
Volume 26, Number 5
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6 = 13” or “7 − 2 = 3”) or 2 units apart for multiplication
problems (e.g., “6 × 3 = 16”).
PROCEDURE.
Following a 500-msec central fixation cross,
each operation was presented for up to 7 sec during
which participants could provide an answer.
Number comparison. This asked participants to indi-
cate as fast as possible the larger of two Arabic numbers.
STIMULI AND DESIGN.
Thirty-six pairs of single-digit Arabic
numbers (1–9) were individually presented. Using a de-
sign similar to previous studies (e.g., Cappelletti, Didino,
Stoianov, & Zorzi, in press), the following numerical dis-
tances were used: 1 (e.g., 7 vs. 6 or 4 vs. 5; eight trials), 2
(e.g., 3 vs. 1 or 7 vs. 9; eight trials), 3 (e.g., 5 vs. 8 or 4 vs.
1; eight trials), 4 (e.g., 6 vs. 2 or 3 vs. 7; eight trials), 5 (e.g.,
9 vs. 4 or 1 vs. 6; four trials). Within each numerical distance,
there was an equal number of trials where the smaller digit
was displayed on the left or on the right of fixation.
PROCEDURE.
Stimulus pairs were centered along the
horizontal line of the computer screen and each displayed
for 500 msec to the left or the right of the fixation cross.
Stimuli were then replaced by a black screen for a maxi-
mum of 4 sec during which participants made an answer.
After this, the following trial started immediately. Partici-
pants were required to make speeded answer by pressing
one of two predefined keys.
Dot–number matching. This required participants to
indicate as fast as possible with a finger press whether or
not an Arabic number presented in one hemifield matched
the number of dots presented in the other hemifield.
STIMULI AND DESIGN.
Thirty-six pairs of stimuli ranging
from 1 to 9 were used. When the stimuli did not match,
they could differ by 1, 2, 3 or 4 units, for instance, 6 dots
presented with the Arabic number 5, or 7 dots with
number 8, or 5 dots with number 2.
PROCEDURE.
Each pair of stimuli was presented for
500 msec with hemifield assignment of the dot and
number stimuli counterbalanced between trials.
Control Tasks
Two control tasks were designed to match either the
behavioral measures (accuracy and speeded RTs) or the
experimental paradigm (line stimuli presented above
and below fixation) of the number and continuous quan-
tity tasks, respectively. However, these control tasks did
not measure number, time, or space processing and as
such allowed us to distinguish effects reflecting number
and continuous quantity processing from other effects
reflecting generic aspects of performance such as compar-
ing stimuli or stimulus and response selection processes.
Cappelletti et al.
989
Figure 1. Experimental tasks. Schematic depiction of the number/
arithmetic and the continuous quantity discrimination tasks. In the
number tasks, participants had to decide (from left: the larger among
two numbers; whether a number and a set of dots indicated the same
quantity; whether the result of arithmetical operations was correct).
In the continuous quantity tasks, participants indicated whether the
upper or the lower line was longer in either duration or length,
in different blocks.
accuracy and RTs were collected. These tasks were similar
but not identical to those used to diagnose dyscalculia:
For instance, the Screener uses a “Number Stroop” task
where numbers change in value as well as physical size
(e.g., 1 vs. 3) because this task is sensitive to dyscalculia
(e.g., Rubinsten & Henik, 2005); moreover, the Screener
is based on addition and multiplication problems only. In
contrast, our experimental tasks used a number com-
parison task where the numbers changed only in value
but not physical size; our tasks also included subtraction
problems besides addition and multiplication to better
capture the cognitive processes underlying different
arithmetical operations because subtractions are thought
to rely on quantity-based processes, whereas multiplica-
tions and additions on verbal memory processes (Dehaene,
Piazza, Pinel, & Cohen, 2003).
Arithmetical verification. This task required partici-
pants to indicate as fast as possible using predefined re-
sponse keys whether an arithmetic problem displayed
the correct or incorrect answer. Twenty single-digit pro-
blems for each type of operation (addition, subtraction,
and multiplication) were presented in separate blocks.
STIMULI AND DESIGN.
Single-digit and two-digit Arabic num-
bers were presented as operands or as possible results
of the arithmetical operations. For instance, participants
were presented with problems such as “9 + 6 = 13,”
“7 − 2 = 3,” or “6 × 3 = 16.” When results were incor-
rect, these were either 1 or 2 units apart from the correct
result for addition and subtraction problems (e.g., “9 +
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Location discrimination. This control task consisted
of 40 trials each displaying a dot for 200 msec in random
locations on the left or right of a computer monitor and
following an ISI randomly selected between 500 msec
and 2 sec. Similar to the number tasks, participants were
instructed to make speeded responses identifying the
location of each stimulus (left or right of fixation) by
pressing one of two predefined keys. Accuracy and RTs
were recorded similarly to the number tasks.
Luminance discrimination.
In this second control
task, participants made unspeeded responses indicating
which of two horizontal lines was brighter by pressing
either the “up” or “down” arrow key. The same design,
procedure, and number of trials as the other continuous
quantity tasks were used, except that the line stimuli varied
along the dimension of luminance, whereas time and
space were both kept constant (600 msec and 10.29°).
The first line stimulus remained constant in luminance
(40 cd m−2, 50% of maximum display luminance), whereas
the second line could have one of five linearly spaced
input values, from 50% to 58% of maximum luminance, re-
sulting in minimum and maximum luminances of 40 and
55.5 cd m−2, respectively (i.e., a max increase of 38.75%).
Supplementary Control Tasks
There were two sets of supplementary control tasks: the
first set aimed to control for the possible impact of vari-
ables that were unmatched between the continuous quan-
tity and the number/arithmetic tasks, for instance, task
instructions. Participants (Control Group 2) performed
the same time and space discrimination tasks twice in ran-
domized order, once following the identical instructions
as previous participants and once under time pressure,
similar to the number and arithmetic tasks. To make the
number/arithmetic and the continuous quantity tasks as
similar as possible, we also increased the amount of trials
of the number/arithmetical tasks (from 132 to 324 trials) to
equate it to the continuous quantity task (400 trials).
A second supplementary control task tested whether
nonsymbolic discrete quantity may be linked to continu-
ous quantity or number/arithmetic. We compared perfor-
mance in the number/arithmetic and continuous quantity
tasks with performance in another nonsymbolic task (i.e.,
numerosity discrimination), using the same design and
procedure of an established paradigm (Halberda et al.,
2008; Cappelletti et al., 2013) in a new group of numeri-
cally normal participants (Control Group 3).
MRI Imaging and Data Preprocessing
High-resolution anatomical images were acquired
using a T1-weighted 3-D Modified Driven Equilibrium
Fourier Transform (MDEFT) sequence (repetition time =
12.24 msec, echo time = 3.56 msec, field of view = 256 ×
256 mm, voxel size = 1 × 1 × 1 mm) on a 1.5-T Siemens
Sonata MRI scanner (Siemens Medical Systems, Erlangen,
Germany). Analyses used SPM8 ( Wellcome Trust Centre
for Neuroimaging, www.fil.ion.ucl.ac.uk/spm) running
under MATLAB 7.3 (MathWorks, Natick, MA). The images
were spatially normalized to Montreal Neurological Insti-
tute space (MNI) and segmented into gray and white
matter using the unified segmentation algorithm (Ashburner
& Friston, 2005). Subsequently, a Diffeomorphic Anatomical
Registration through Exponentiated Lie Algebra was per-
formed for intersubject registration of the gray matter
images. To ensure that the total gray matter volume was re-
tained before and after spatial transformation, the image
intensity was modulated by the Jacobian determinants of
the deformation fields. The registered images were then
smoothed with a Gaussian kernel (FWHM = 8 mm) and
were then affine transformed to MNI stereotactic space
using affine and nonlinear spatial normalization for multiple
regression analysis.
Data Analysis
Behavioral Data
Performance in the continuous quantity discrimination
tasks was expressed as the difference in duration or length
that could be discriminated at 75% accuracy (Just Notice-
able Difference, JND). The JND was calculated by plotting
the percentage of “Test longer” (or “Test brighter”) re-
sponses to the actual Test magnitude for each participant
and each continuous quantity task. These percentages
(typically from floor to ceiling performance, i.e., near
50% to near 100%) were then interpolated by a logistic
function using a maximum-likelihood algorithm imple-
mented by PSIGNIFIT toolbox for MATLAB ( Wichmann
& Hill, 2001). The JND was read off from the interpolated
psychometric function as the line length, duration, or
luminance at which 75% of the responses were “Test
longer.” For the number and arithmetical tasks, an effi-
ciency score was calculated, that is, accuracy divided by
mean RT for the correct answers for each task (Machizawa
& Driver, 2011). JNDs and efficiency scores were normal-
ized to produce z scores so that performance could be
compared across tasks in planned two-tailed t tests.
Behavioral data were also included in a principal com-
ponent analysis (PCA) based on the normalized efficiency
scores and JNDs. Four components with eigenvalues
higher than 1 were extracted and then Varimax rotated
(Wood, Tataryn, & Gorsuch, 1996), and these values were
used as a behavioral index for the VBM analysis. Correlation
analysis was used to test the relation between performance
in numerical/arithmetical and continuous quantity tasks.
MRI Data
VBM analyses of structural MRI images were performed
in SPM8 on each voxel in the spatially normalized gray
990
Journal of Cognitive Neuroscience
Volume 26, Number 5
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matter images (see above) using behavioral measures as
the independent variable and the gray matter volume in
each voxel as the dependent variable. Global signal
intensity differences were removed using proportional
scaling. For these analyses, we report regions that showed
significant effects at a threshold p < .05, corrected for
multiple comparisons (using family-wise error correction)
across the whole brain. We used cluster level statistics with
a nonstationary correction, which is essential to adjust
cluster sizes according to local “roughness” (Hayasaka,
Phan, Liberzon, Worsley, & Nichols, 2004). Three analyses
were performed: Two were based on examination of the
whole-brain volume and one on predefined ROIs in
accordance with our prior hypotheses (see below).
Analysis 1: Gray matter volumes associated with perfor-
mance on both number and continuous quantity tasks.
This analysis introduced the two PCA rotated values cor-
responding to numerical/arithmetical and continuous quan-
tity performance as behavioral regressors in the VBM
analysis, controlling for age, sex, and intracranial volume, fol-
lowing an approach used successfully in previous VBM stu-
dies (e.g., Garrido et al., 2009). Statistical contrasts identified
brain areas where there was a correlation between gray mat-
ter increase and (1) the main effect of each PC component,
(2) any common effect between the first and second prin-
ciple component (PC1 and PC2), and (3) any effect that
was higher for one component over the other, that is, an
interaction.
Analysis 2: Gray matter volumes associated with perfor-
mance on number/arithmetic and continuous quantity
tasks relative to control tasks. This analysis included
the normalized raw values corresponding to performance
in the number/arithmetic, the continuous quantity, and the
two control tasks (individual tasks for number/arithmetic
and for continuous quantity averaged together). It tested
whether any gray matter change in areas previously iden-
tified (Analysis 1) remained significant after controlling for
any effect related to the control tasks.
Analysis 3: Predefined ROIs. This analysis was restricted
to brain regions identified by a previous functional im-
aging study we conducted (Cappelletti, Lee, Freeman, &
Price, 2010) and by meta-analyses of functional results
based on behavioral tasks similar to those used here
( Wiener, Turkeltaub, & Coslett, 2010; Cohen Kadosh,
Lammertyn, & Izard, 2008; Dehaene et al., 2003). Specifi-
cally, it included the bilateral intraparietal sulcus (IPS),
superior parietal lobe, and left angular gyrus for numbers
and the left SMA, right inferior parietal lobe and supra-
marginal gyrus, and the left frontal gyrus for continuous
quantity. For these areas, we used small spheres of 8-mm
radius placed in the anatomical ROIs and reported effects
at a threshold of p < .05 after correction.
RESULTS
Comparison of Behavioral Performance
in Participants with Dyscalculia and in
Numerically Normal Participants
In participants with dyscalculia, we found individual
variability in performing number and arithmetic tasks, con-
sistent with previous studies looking at dyscalculic per-
formance (Cappelletti & Price, 2014; Rubinsten & Henik,
2009). For instance, accuracy across number tasks ranged
from 50% (chance) to 68% correct, and the mean RT varied
from about 760 msec to over 4 sec. We also found a large
and not previously reported variability in performing the
continuous quantity tasks such that, for example, accuracy
for discriminating the smallest increment ranged from 50%
(chance) to 90% correct for length discrimination from
50% to 73% correct for time.
Moreover, in adults with dyscalculia, performance in the
number/arithmetic tasks correlated significantly with a
measure of nonsymbolic numerosity discrimination [i.e.,
indicating the set with the larger number of items, see
Halberda et al., 2008, r = 0.56, F(1, 15) = 6.6, p = .02]
and consistent with previous reports (e.g., Mazzocco
et al., 2011; Piazza et al., 2010). Performance in time and
space discrimination tasks also correlated significantly
[r = 0.79, F(1, 15) = 21.3, p < .001]. Critically, continuous
quantity and number performance did not correlate signif-
icantly [time vs. mean number tasks: r = 0.25, F(1, 15) =
0.8, p = .36, ns; space vs. mean number tasks: r = 0.29,
F(1, 15) = 1.2, p = .29, ns], similar to numerically normal
participants (see below).
To examine the extent to which performance in par-
ticipants with dyscalculia was outside the normal range,
we compared them to our sample of numerically normal
participants (Control Group 1). An ANOVA based on the
normalized raw data of the number/arithmetic tasks and
of the time and space discrimination tasks was used with
Task (number/arithmetic vs. continuous quantity) as
within factor and Group (dyscalculic vs. numerically nor-
mal participants) as between factor. The interaction
of Task and Group was the only significant effect found
[F(1, 51) = 49.1, p < .001], and post hoc tests indicated
a significant numerical impairment in participants with
dyscalculia relative to numerically normal participants
[t(51) = 20.9, p < .001], but normal performance in the
continuous quantity tasks [space: t(51) = 1.8, p > .08, ns;
time: T(51): 1.7, p = .1, ns; Guarda la figura 2]. These effects
were significant even when the dyscalculic sample was
compared with a subsample of numerically normal partici-
pants more closely matched for sex and age within Con-
trol Group 1 [n = 16: 15 women, 1 Uomo; mean age =
32.0 years, range = 22–37 years; F(1, 30) = 5.7, P <
.02]. Post hoc comparisons based on this subsample con-
firmed that participants with dyscalculia were impaired in
the number and arithmetic tasks [t(30) = 11.3, p < .001],
but not the continuous quantity ones [space: t(30) = 0.8,
p < .09, ns; time: t(30): 2.3, p = .2, ns].
Cappelletti et al.
991
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compared with just RTs in the number tasks, which may
be more sensitive than accuracy to quantify number
performance (all p > .3).
In the control tasks, participants also showed large
variability in performance: In the location discrimination
task, RTs ranged from about 250 A 680 msec; in the
luminance task, accuracy for discriminating the smallest
increment ranged from chance to 84% correct, E
JNDs ranged from 2.6% A 10.5%. Neither of the control
tasks correlated with the number or continuous quantity
compiti, with the exception of number comparison and the
location discrimination task [r = 0.6, F(1, 36) = 20.5,
P < .001; see Table 2]; this may be because these tasks
were both defined in terms of speed of response rather
than accuracy, which was at ceiling or close to ceiling in
both cases.
To establish potential overlap of function and to re-
duce the dimensionality of the behavioral data for fur-
ther analyses, we performed a PCA on the data from
the 37 numerically normal participants (Control Group 1;
see Methods). Four orthogonal factors emerged, overall
accounting for about 81% of the variance (40.8%, 16.2%
13.1%, and 10.6%, respectively; see Table 3). PC factor 1
was characterized by tasks that despite several methodolo-
gical differences were all defined in terms of numerical/
arithmetical processing (i.e., arithmetical verification, num-
ber comparison and dot-number matching). PC factor 2
contained just the space and time discrimination tasks,
and PC factor 3 was associated with luminance dis-
criminability, despite the time, space, and luminance tasks
all employing similar stimuli and experimental paradigms.
Hence, commonalities between space and time (PCA 2) are
likely to be driven by the processing of some continuous
quantity rather than similarities in the paradigm used. PC
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Figure 3. Behavioral results of numerically normal participants.
Scatterplot (with marginal histograms), plotting normalized measures of
efficiency in numerical tasks ( y axis), and JND for continuous quantity
discrimination (x axis) in the numerically normal participants (Control
Group 1). Symbols represent results from individual participants, with
superimposed line of best fit revealing no significant correlation.
Figure 2. Behavioral results. Mean performance across participants
with dyscalculia (DD, n = 16; black bars) versus numerically normal
participants included in the VBM analysis (Control Group 1, n = 37;
white bars). Dyscalculia show impaired performance on numerical tasks
but preserved JNDs for time and space discrimination (normalized
values). Asterisk indicates a significant in the two groups ( p < .001).
The dissociation between number/arithmetic and con-
tinuous quantity performance in participants with dys-
calculia as well as the lack of correlation between these
tasks suggests that atypical number development leaves
spared other types of quantity processing like time and
space (see also Cappelletti, Freeman, & Butterworth,
2011; Rubinsten et al., 2005).
Behavioral Performance in Numerically
Normal Participants
Given the dissociation between number/arithmetic and
continuous quantity tasks in dyscalculicsʼ performance,
we examined whether or not there was a similar disso-
ciation in numerically normal healthy adults or whether
such dissociation may reflect peculiarities of the dyscalculic
sample. In numerically normal participants (Control
Group 1), we found remarkably large individual variability
in performing number and arithmetic tasks, consistent with
previous studies (Halberda et al., 2008). For instance,
accuracy across these tasks ranged from about 70% cor-
rect to 100% and mean RT varied from about 300 msec
to 1.9 sec. We also found a similar variability in the con-
tinuous quantity tasks, which has not previously been
documented (see Figure 3). Hence, accuracy for discrimi-
nating the smallest increment ranged from 50% (chance)
to 88% correct for space discrimination and from 50% to
78% correct for time; for both space and time, averaged
JNDs ranged from 1.5% to 14% increments. JNDs for space
and time correlated [Pearsonsʼ r = 0.48, F(1, 36) = 10.7,
p = .002] and similarly performance in number/arithmetic
tasks expressed as efficiency score correlated (Table 2).
Nonetheless, there was no significant correlation between
performance in the continuous quantity and the number/
arithmetic tasks neither when performance was compared
on the basis of efficiency scores and JNDs (all p > .1, Vedere
Figura 3, Tavolo 2) nor when compatible measures of
accuracy were considered (JNDs and percent correct only;
all ps > .2), or when JNDs in continuous quantity were
992
Journal of Cognitive Neuroscience
Volume 26, Numero 5
Tavolo 2. Correlations between Tasks and between Behavior and Gray Matter Volume
Brain Area
Task
Numbera
1 D-N matching
2 Number comparison
3 Arithmetics
Continuous Quantityb
4 Spazio
5 Time
Control Tasks
6 Location detectiona
7 Luminanceb
8 IPS
9 Cuneus
10 TPJ
1
–
2
3
.37*
–
.54**
.31*
–
4
ns
ns
ns
–
5
ns
ns
ns
.48**
–
6
ns
.57**
ns
ns
ns
–
7
ns
ns
ns
ns
ns
ns
–
8
9
10
.6**
.29*
.5**
.65**
.37*
.59**
ns
ns
ns
ns
–
ns
ns
ns
ns
.48**
–
ns
.36*
.46*
.42*
.48**
ns
ns
ns
ns
–
Significant correlations (indicated by asterisks) between performance in number/arithmetic, continuous quantity, control tasks (expressed as effi-
ciency scores or JNDs), and gray matter volume in the IPS, cuneus, and TPJ regions.
D-N matching = dot–number matching; ns = not significant.
aEfficiency score = accuracy/mean RT of correct answers only.
bJNDs.
*P < .05.
**p < .001.
factor 4 was associated with the location discrimination
task. In summary, the PCA (1) confirmed our initial hypoth-
esis that our tasks probe distinct versus common resources
and (2) allowed us to reduce the number of behavioral di-
mensions used in the VBM analyses, as done in previous
studies (see Garrido et al., 2009).
Our behavioral data showed a dissociation between
number/arithmetic and continuous quantity tasks in par-
ticipants with dyscalculia and no evidence for a correla-
tion between these tasks in numerically normal
participants. This was also the case when we controlled
for variables that were unmatched between the con-
tinuous quantity and the number/arithmetic tasks, for in-
stance, task instructions (Supplementary Control Task 1).
Indeed, when task instructions were similar, we found
that performance in the time and space discrimination
indexed by JNDs correlated irrespective of whether the
tasks were performed under time pressure [r(16) =
.53, p < .04] or with no time pressure [r(16) = .72,
p < .003], consistent with our previous results. How-
ever, performance in time and space discrimination did
not correlate with number and arithmetic proficiency
whether this was measured in terms of accuracy ( p >
.09) or RTs ( p > .8).
Inoltre, proficiency in the numerosity task (mea-
sured in Supplementary Control Task 1) correlated with
accuracy in arithmetic verification [r = 0.45, p = .03] E
dot–number matching tasks [r = 0.43, p = .04], but not
number comparison [r = 0.3, P < .1, ns]. Critically, per-
formance in the numerosity discrimination task did not
correlate with performance in either the time [r = 0.33,
p = .1, ns] or the space discrimination tasks [r = 0.26,
p = .7, ns].
VBM of Regional Gray Matter Volume
A dissociation and no correlation between number/
arithmetic and continuous quantity tasks might indicate
their independence or alternatively the presence of
additional uncontrolled variables. To test such possible
independence, we used VBM with the prediction that
independence in our experimental tasks might result in
different brain regions being associated with number/
arithmetic and continuous quantity. In contrast, com-
monality in number/arithmetic and continuous quantity
processing might be reflected in commonality in the brain
regions associated with these processes.
Cappelletti et al.
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Table 3. PCA for Numerically Normal Participants Revealing Four Independent Factors Accounting for Performance in Number/
Arithmetic Tasks (Factor 1), Time and Space Discrimination (Factor 2), Luminosity Discrimination (Factor 3), and Location
Discrimination (Factor 4), Respectively
Factor
Task
Number and Arithmetic
Dot–number matching
Number comparison
Arithmetics
Addition problems
Subtraction problems
Multiplication problems
Continuous Quantity
Space discrimination
Time discrimination
Control Tasks
Luminosity discrimination
Location discrimination
1
0.860
0.843
0.824
0.890
0.825
0.822
0.190
−0.151
0.114
−0.360
2
0.230
−0.106
−0.047
−0.195
−0.170
0.115
0.740
0.799
−0.003
−0.158
3
0.037
0.007
0.091
0.079
0.038
0.300
−0.287
0.235
0.940
0.232
4
−0.147
0.264
0.165
−0.108
0.032
0.096
−0.209
0.107
−0.061
0.823
We first assessed whether normal individual differ-
ences in number/arithmetic competence and in continu-
ous quantity discrimination correlated with individual
differences in gray matter volume (for Control Group 1,
see Methods). Using PCA Rotated Factors 1 and 2 as
indices of behavior (see Table 3), we found significant
relationships between gray matter volume and per-
formance measures on both number/arithmetic and con-
tinuous quantity in the right TPJ [r = 0.62, p < .001; see
Table 4]. Yet, there were significantly greater associations
(i.e., significant interaction) between gray matter volume
and number/arithmetic relative to continuous quantity
Table 4. Brain Areas of Increased Gray Matter Volume Associated with Performance in Number/Arithmetic and in Continuous
Quantity Tasks (Space and Time)
Coordinates
Number
Continuous
Quantitya
Interaction
Number–control
Taskb
Continuous
Quantity–Control
Taskc
Area
Cuneus
IPSd
TPJ
H
L
R
R
x
3
27
56
y
−75
−52
−55
z
13
54
21
Z Score (No. of Voxels)
4.3 (596)
4.1 (56)
3.1 (33)
ns
ns
4.1 (505)
3.2
4.3 (1027)
ns
3.3 (16)
2.8 (22)
3.2 (10)e
3.6 (94)
Only areas significant ( p < .001) after correcting for multiple comparisons are reported.
H = hemisphere; L = left; R = right; ns = not significant.
aSpace and time.
bLocation discrimination.
cLuminosity discrimination.
dROI based on functional data obtained in similar number tasks (Cappelletti et al., 2010) and consistent with previous studies (Cohen Kadosh et al.,
2008; Dehaene et al., 2003).
eWithin 6-mm radius.
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Figure 4. Neuroanatomical
results. Left column shows
structural MRI sections from a
standard T1 template in MNI
stereotactic space in sagittal,
coronal, and axial view. Each
row highlights a different
cortical locus where correlation
between gray matter volume
and PCA-rotated behavioral
measures was significant in
numerically normal participants
of Control Group 1 ( p < .05 for
multiple comparisons across
the whole brain using family-
wise error correction, see also
Table 2; red = numerical
competence, blue =
continuous quantity). Each
graph on the right plots
normalized gray matter volume
( y axes) sampled from the
corresponding highlighted
region on its left (with
Talairach coordinates), against
the behavioral measure with
which it was found to correlate
(x axes, in z scores). In the
bottom graph, circle symbols
(and continuous line of best fit) represent numerical/arithmetical competence (N), and triangles represent performance on continuous quantity tasks
(CQ, with dotted line of best fit). Note that, for convenience of comparison with numerical competence, the continuous quantity JNDs have been
sign-inverted (i.e., negative values transformed to positive and vice versa), so that higher values correspond on the graph to better rather than poorer
performance.
performance in the right IPS [r = 0.56, p < .001] and
in the left cuneus [r = 0.19, p < .05; see Table 4 and
Figure 4].
One possibility is that gray matter volume in the re-
gions identified simply reflected a correlation with any
measure of RT or accuracy respectively. In this case, gray
matter volume in the right IPS, cuneus, and TPJ regions
should also correlate with the control tasks, which shared
the same behavioral measures with the experimental
tasks. However, we found that performance in neither
the location discrimination nor in the luminance discrimi-
nation (expressed as efficiency scores or JNDs) correlated
with gray matter volume in any of these brain regions
(all ps > .18; Vedi la tabella 2), therefore suggesting that
the effect of number/arithmetic and continuous quantity
did not simply reflect the type of behavioral measure
used (RTs vs. accuracy). We also tested whether the link
between gray matter volume and behavior was driven
by any specific task grouped within each PCA factor.
We therefore looked at correlations between gray matter
volume and each individual task used (rather than the
PCA factors). We used the estimates of gray matter vol-
ume extracted from the significant clusters identified in
Analysis 1 and the normalized raw scores of the number/
arithmetic and continuous quantity tasks. Besides cor-
relating with the PCA factors, gray matter volume in the
right IPS and cuneus correlated with all the number tasks
(with the exception of a marginal correlation for the
number comparison task, p = .07) and in TPJ regions
with both continuous quantity tasks used, after correct-
ing for multiple comparisons. This indicates that all
the tasks included in the PCA factors contributed to the
correlation between gray matter volume and behavior.
Finalmente, we examined whether there was any effect of
number/arithmetic or continuous quantity in a set of pre-
defined ROIs (see Methods). These ROI analyses indicated
that our number/arithmetic-specific parietal effects corre-
sponded to the same right IPS number area reported in
previous functional imaging studies (Cappelletti et al.,
2010; Wiener et al., 2010; Cohen Kadosh et al., 2008;
Dehaene et al., 2003). No further brain regions reached
significance.
DISCUSSION
Our study aimed to investigate the relation between
numerical/arithmetical abilities and other continuous
quantity abilities, such as those involved in time and space
processing. Specifically, we used neuropsychology, psy-
chophysics, and VBM to test whether the ability to process
continuous quantities was maintained when numerical
processes are developmentally impaired (cioè., in dys-
calculia) and whether number and continuous quantity
Cappelletti et al.
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correlated behaviorally and anatomically in numerically
normal participants. Our results indicate that proficiency
in numerical and continuous quantity tasks dissociated
in dyscalculia (cioè., impaired number but spared time
and space processing). Inoltre, performance in these
tasks did not correlate in numerically normal partici-
pants, although individual differences in performing
numerical and continuous quantity tasks both correlated
with increased gray matter volume in the right TPJ. By
using several control measures, we also established that
these results did not just depend on generic aspects
of our behavioral measures but appeared specific for
numerical and continuous quantity tasks. Inoltre,
gray matter in right IPS and left cuneus was more closely
related to numerical/arithmetical than continuous quantity
compiti.
Numerical Proficiency Dissociates from Time
and Space Processing
Our two main findings of behavioral independence de-
spite anatomical association of numerical and continuous
quantity skills provide a deeper understanding of the rela-
tion between these skills. The independence of number
and continuous quantity was supported by their disso-
ciation in dyscalculia, the lack of behavioral correlation in
numerically normal participants, and the number-specific
anatomical correlations in right IPS and cuneus. This in-
dependence may reflect some intrinsic differences in pro-
cessing number and continuous quantity. For instance,
unlike continuous quantity, number has discrete referents
and is based on enumeration and arithmetical principles
rather than approximation as in time and space processing
(Henik, Leibovich, Naparstek, Diesendruck, & Rubinsten,
2011; Castelli, Glaser, & Butterworth, 2006). Critically,
the dissociation between numerical and continuous quan-
tity skills in dyscalculia suggests that contrary to nu-
merical skills, continuous quantity processing develops
adequately and is adequately maintained in dyscalculia
(see also Cappelletti, Freeman, & Butterworth, 2011).
Tuttavia, it is currently unknown whether in dyscalculia
number processing is independent and dysfunctional
from birth or whether numerical and continuous quan-
tity skills correctly develop together with number skills
deteriorating later.
Besides the IPS, increased gray matter volume associ-
ated with RTs but not accuracy in number tasks was
shown in the cuneus, a brain area frequently reported in
relation to working memory (Slotinick & Schacter, 2006),
suggesting that this area may be sensitive to task difficulty
in the context of number processing.
A recent study indicated a link between performing
continuous quantity tasks (spatial extent), numerosity dis-
crimination, and arithmetical abilities. Specifically, spazio
and numerosity processing were shown to be linked and
foundational to arithmetical proficiency (Lourenco, Bonny,
Fernandez, & Rao, 2012). This is different to what we
found, although a closer look at these recent data shows
only an apparent discrepancy with ours: Infatti, the con-
tribution of space processing to arithmetical abilities was
actually only indirect, with a much stronger role in per-
forming geometry rather than arithmetical tasks (Lourenco
et al., 2012).
One or Multiple Quantity Systems?
Our second finding is of an association between number/
arithmetical and continuous quantity tasks, which were
both related to an increase in gray matter volume in
TPJ. The anatomical association between these tasks
could reflect magnitude processes (Cantlon et al., 2009;
Walsh, 2003) or alternatively the cognitive resources
needed to judge magnitude, which could include deci-
sion, stimulus, response selection, or attentional pro-
cesses (Cappelletti et al., 2010; Cohen Kadosh et al.,
2008). The contribution of attentional processes may
be suggested by the involvement of the right TPJ region,
a brain area part of a stimulus-driven attention system
that detects relevant stimuli or changes in their status
(Kincade, Abrams, Astafiev, Shulman, & Corbetta, 2005;
Corbetta & Shulman, 2002) also on dimensions such as
duration, location, and numerosity (Coull, Cheng, & Meck,
2011; Vetter, Butterworth, & Bahrami, 2011; Ansari, Lyons,
van Eimeren, & Xu, 2007). Our data indicate that such
processes can also be associated with symbolic numbers,
in line with lesion data showing that right TPJ lesions
affect attention-related processes. These processes, albeit
not always in the context of TPJ lesions, are known to
interfere with number ( Vuilleumier, Ortigue, & Brugger,
2004) or with continuous quantity manipulation (Danckert
et al., 2007).
Attentional processes associated with right TPJ may
subserve different functions on which different tasks may
rely. For instance, separate processes may be needed to
maintain attention up to the end of the stimulus presen-
tazione (in the time task) to respond to a change in the
stimuli (in both the time and space tasks) or to extract
the meaning of symbols or retrieve the correct result of
the arithmetical operations (in the arithmetic tasks). Questo
hypothesis of multiple types of attention converging in
the right TPJ may explain the apparent similarity of perfor-
mance in number and continuous quantity tasks previously
reported (Vetter et al., 2011; Brannon et al., 2007; Zorzi
et al., 2002) and may be the reason why performance on
number and continuous quantities tasks did not correlate
in our study. Alternatively, the right TPJ might support the
same function in all number and continuous quantity
compiti, for instance, comparison processes may be a point
of convergence between these tasks (Cantlon et al.,
2009). More specifically, the number and the continuous
quantity tasks imply the preparation and maintenance of
a target-stimulus template to be compared with the actual
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target, questo è, a matching or mismatching process, che è
linked to the left and right TPJ area (DiQuattro & Geng,
2011; Doricchi, Macci, Silvetti, & Macaluso, 2010; Kincade
et al., 2005). This comparison or matching process may
be different in the luminance task, possibly because infor-
mation about luminance could be obtained directly from
every local part of the stimulus line (Gilchrist & Radonjić,
2009). Therefore, participants did not need to build up
and keep active the whole line stimulus template to
perform the luminance comparison, as they would do for
time and space. This may explain why discriminating lumi-
nance, arguably another quantity dimension (Pinel et al.,
2004), did not correlate with gray matter volume in the
right TPJ, which was linked to number, time, and space.
Likewise, in the other control task used, location discrimi-
nation, there was no reference–template matching or
mismatching a stimulus target, a process linked to the
TPJ area (Doricchi et al., 2010; Kincade et al., 2005). Così,
although luminance discrimination and location detection
tasks aimed respectively to control for response and stim-
ulus selection processes in common with the time and
space discrimination tasks and to match the behavioral
measure used with the number tasks, they differed sub-
stantially in other underlying cognitive processes. Questo
may explain the lack of anatomical overlap with the
number, time, and space tasks.
It may be surprising that common resources were not
detected in the IPS, a region previously hypothesized to
host a shared magnitude representation ( Walsh, 2003)
and that functional imaging studies often report as
involved in number processing (per esempio., Cappelletti et al.,
2010; Dehaene et al., 2003; Dormal et al., 2012; Fias et al.,
2003). This may be because functional and structural
imaging studies measure different things, and currently
the relationship between function and structure is only
poorly understood (Tuttavia, see Song, Schwarzkopf, &
Rees, 2013, for a study on the relation between brain
function and structure in primary visual cortex). Functional
imaging looks at neural responses averaged across indi-
viduals (cioè., activations common across many participants),
and it measures current involvement in a task, with more
activation for more involvement (less with practice and
efficiency). In contrasto, in structural imaging measures
are derived from differences across individuals, and they
reflect many different factors including a lifetime of re-
sponses and efficiency (more with practice and efficiency;
Kanai & Rees, 2011). As many different activations can
engage the same process (per esempio., spatial attention), there
may be no correlation with performance of a single task
(per esempio., numerical processing), but a correlation might
arise with a measure that encompasses process rather
than task.
In conclusion, we report novel evidence that charac-
terizes the relation between number and continuous quan-
tity processing. Primo, in a population with a developmental
numerical dysfunction, questo è, dyscalculia, continuous
quantity processing was well maintained; second, In
numerically normal people, numerical/arithmetical and
continuous quantity skills were at least partially dissoci-
ated, both behaviorally and anatomically. Despite no cor-
relation between behavioral measures, both number/
arithmetic and continuous quantity correlated with struc-
tural changes in right TPJ, whereas the right IPS and the
cuneus were distinguished by their correlation with the
number/arithmetic tasks only. Together, our new evidence
of a number-specific impairment and of number-specific
brain areas distinct from common magnitude areas sug-
gests that the human brain is equipped with different
ways of quantifying the outside world.
Ringraziamenti
This work was supported by the Wellcome Trust (G. R., C. J. P.);
a Royal Society Dorothy Hodgkin Fellowship, Royal Society, E
British Academy Research Grants (M. C.); and the Japan Society
for the Promotion of Science and Japan Science and Technology
Agency (R. K.). We would like to thank two anonymous reviewers
for their helpful comments.
Reprint requests should be sent to Marinella Cappelletti, Università
College London, Institute of Cognitive Neuroscience, 17 Queen
Square, London, WC1N 3AR, UK, or via e-mail: m.cappelletti@
ucl.ac.uk.
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